Open-label Study to Assess Immunogenicity and Safety of a Vaccine Enhancement Patch When Administered With 2 Doses of H5N1 Vaccine
Primary Purpose
Healthy
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
A/H5N1 Antigen
Vaccine Enhancement Patch
Sponsored by
About this trial
This is an interventional treatment trial for Healthy focused on measuring Immunogenicity and Safety
Eligibility Criteria
Inclusion Criteria:
- Healthy adult males or females 18-49 years of age (inclusive)
- signed Informed Consent
- Women who are not post-menopausal or surgically sterile must have a negative serum or urine pregnancy test at screening and at all in-clinic visits with understanding to not become pregnant over the duration of the study.
Exclusion Criteria:
- Clinically significant laboratory abnormalities at screening
- abnormalities at physical examination
- known allergies to any component of the A/H5N1 antigen
- known egg protein allergy
- known allergies to adhesives
- known coagulation disorders
- use of any anticoagulant medication within 30 days prior to vaccination or planned usage during the study period
- participated in research involving investigational product within 30 days before planned date of vaccination or planned participation during study period
- donated or received blood or blood products such as plasma within the three months before planned date of vaccination or planned donation or use during the study period
- received or planned receipt of seasonal influenza vaccine during the study period
- received any licensed vaccines within 2 weeks (inactivated vaccines) or 4 weeks (live vaccines) prior to planned date of vaccination
- planned receipt of any licensed vaccine during the first 42 days on study
- previous or planned vaccination with any vaccine containing an oil in water emulsion adjuvant
- previous or planned vaccination with pandemic vaccine against A/H5N1 or previous proven contact with A/H5N1 wild type virus
- ever received investigational enterotoxigenic E. coli LT, or LT (R192G) or NasalFlu, Berna Biotech, Ltd. Ever received cholera toxin or vaccine
- Recent or regular use of oral, topical or injected steroid medications within 30 days prior to vaccination or planned use during the study period.
- Use of immunosuppressive systemic steroid medications including inhaled steroids within three months prior to vaccination or planned use during the study period
- Comorbid conditions or treatments that are immunosuppressive, including cancer, diabetes, and end-stage renal disease, as determined by the Investigator
- positive serology for HIV-1, HIV-2, HBsAg, or HCV
- history of severe atopy
- medical history of acute or chronic skin disease at vaccination area
- active skin allergy
- signs of acute skin infection, sunburn or skin abnormalities at the vaccination area including fungal infections, severe acne, active contact dermatitis, or a history of keloid formation
- hirsute at vaccination area
- artificial tanning over the duration of the study including the screening period
- visible tattoos or marks at the vaccination area that would prevent appropriate dermatologic monitoring of the vaccination site
- fever greater than or equal to 38.0°C at the time of planned vaccination
- suspicion of or recent history of alcohol or substance abuse
- women who are pregnant or breastfeeding
- acute illness at screening or at the time of planned vaccination
- ever had a serious reaction to prior influenza vaccination
- developed a neurological disorder following a previous influenza vaccination or have any acute and evolving neurological disorder
- employee of the investigational site or sponsor
- history of employment in bird or poultry industries or considerable exposure to birds
Sites / Locations
- Privatklinik Leech
- Medical University of Vienna
- Medizinische Universität Wien
- Antwerp University - Campus Drie Eiken
- University Hospital Ghent
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
Group 1
Group 2
Group 3
Group 4
Arm Description
3.8 mcg with AS03 adjuvant at D0 and 21
15 mcg at D0 and 21
15 mcg + 50 mcg VEP at D0 and 21
30 mcg + 50 mcg VEP at D0
Outcomes
Primary Outcome Measures
Evaluate hemagglutination inhibition (HI) immune responses
Evaluate hemagglutination inhibition (HI) immune responses to two doses of 15μg A/H5N1 achieved in the antigen plus VEP group versus the antigen alone group (Group 3 vs. Group 2) at Day 42 using standard serological parameters (Geometric Mean Titer [GMT], Geometric Mean Fold Ratio [GMFR], seroconversion and seroprotection).
Secondary Outcome Measures
Safety of 15µg and 30µg IM A/H5N1 antigen administered with the 50µg VEP
Comprehensive assessment of solicited and non-solicited local (vaccination site) and systemic adverse events (AEs) Safety follow-up through six months after last vaccination
Characterize HI immune responses
Characterize HI immune responses in the 15µg A/H5N1 antigen alone group (Group 2) and the 15µg A/H5N1 antigen plus VEP group (Group 3) to determine if levels meet or exceed EMA CPMP/BWP/214/96 criteria for immunogenicity:
The percent of subjects achieving seroconversion for HI antibody titer should meet or exceed 40%
The percent of subjects achieving an HI antibody titer ≥ 1:40 should meet or exceed 70%
GMT increase > 2.5
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01353534
Brief Title
Open-label Study to Assess Immunogenicity and Safety of a Vaccine Enhancement Patch When Administered With 2 Doses of H5N1 Vaccine
Official Title
A Phase 1/2, Randomized, Open-Label, Study to Assess the Immunogenicity and Safety of a Vaccine Enhancement Patch (VEP) When Administered With Two Doses of Intramuscular Inactivated Influenza H5N1 Vaccine in Healthy Adults
Study Type
Interventional
2. Study Status
Record Verification Date
October 2012
Overall Recruitment Status
Completed
Study Start Date
May 2011 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
October 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Intercell USA, Inc.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Groups 1 to 3 will receive two vaccinations on Day 0 and Day 21. Group 1 will receive 3.8µg A/H5N1 antigen formulated with AS03 adjuvant, administered by IM injection. Group 2 will receive 15µg A/H5N1 by IM alone. Group 3 will also receive 15µg A/H5N1 antigen administered IM but followed by the topical application of a VEP at the vaccination site. Group 4 will receive a single vaccination on Day 0 of 30µg A/H5N1antigen by IM, followed by application of a VEP at the vaccination site.
The VEP (Vaccine Enhancement Patch) contains 50 mcg LT (heat-labile enterotoxin of E. coli)
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy
Keywords
Immunogenicity and Safety
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
276 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Group 1
Arm Type
Experimental
Arm Description
3.8 mcg with AS03 adjuvant at D0 and 21
Arm Title
Group 2
Arm Type
Experimental
Arm Description
15 mcg at D0 and 21
Arm Title
Group 3
Arm Type
Experimental
Arm Description
15 mcg + 50 mcg VEP at D0 and 21
Arm Title
Group 4
Arm Type
Experimental
Arm Description
30 mcg + 50 mcg VEP at D0
Intervention Type
Biological
Intervention Name(s)
A/H5N1 Antigen
Intervention Description
A/H5N1 Antigen
Intervention Type
Drug
Intervention Name(s)
Vaccine Enhancement Patch
Intervention Description
Vaccine Enhancement Patch
Primary Outcome Measure Information:
Title
Evaluate hemagglutination inhibition (HI) immune responses
Description
Evaluate hemagglutination inhibition (HI) immune responses to two doses of 15μg A/H5N1 achieved in the antigen plus VEP group versus the antigen alone group (Group 3 vs. Group 2) at Day 42 using standard serological parameters (Geometric Mean Titer [GMT], Geometric Mean Fold Ratio [GMFR], seroconversion and seroprotection).
Time Frame
Day 42
Secondary Outcome Measure Information:
Title
Safety of 15µg and 30µg IM A/H5N1 antigen administered with the 50µg VEP
Description
Comprehensive assessment of solicited and non-solicited local (vaccination site) and systemic adverse events (AEs) Safety follow-up through six months after last vaccination
Time Frame
8 months
Title
Characterize HI immune responses
Description
Characterize HI immune responses in the 15µg A/H5N1 antigen alone group (Group 2) and the 15µg A/H5N1 antigen plus VEP group (Group 3) to determine if levels meet or exceed EMA CPMP/BWP/214/96 criteria for immunogenicity:
The percent of subjects achieving seroconversion for HI antibody titer should meet or exceed 40%
The percent of subjects achieving an HI antibody titer ≥ 1:40 should meet or exceed 70%
GMT increase > 2.5
Time Frame
8 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Healthy adult males or females 18-49 years of age (inclusive)
signed Informed Consent
Women who are not post-menopausal or surgically sterile must have a negative serum or urine pregnancy test at screening and at all in-clinic visits with understanding to not become pregnant over the duration of the study.
Exclusion Criteria:
Clinically significant laboratory abnormalities at screening
abnormalities at physical examination
known allergies to any component of the A/H5N1 antigen
known egg protein allergy
known allergies to adhesives
known coagulation disorders
use of any anticoagulant medication within 30 days prior to vaccination or planned usage during the study period
participated in research involving investigational product within 30 days before planned date of vaccination or planned participation during study period
donated or received blood or blood products such as plasma within the three months before planned date of vaccination or planned donation or use during the study period
received or planned receipt of seasonal influenza vaccine during the study period
received any licensed vaccines within 2 weeks (inactivated vaccines) or 4 weeks (live vaccines) prior to planned date of vaccination
planned receipt of any licensed vaccine during the first 42 days on study
previous or planned vaccination with any vaccine containing an oil in water emulsion adjuvant
previous or planned vaccination with pandemic vaccine against A/H5N1 or previous proven contact with A/H5N1 wild type virus
ever received investigational enterotoxigenic E. coli LT, or LT (R192G) or NasalFlu, Berna Biotech, Ltd. Ever received cholera toxin or vaccine
Recent or regular use of oral, topical or injected steroid medications within 30 days prior to vaccination or planned use during the study period.
Use of immunosuppressive systemic steroid medications including inhaled steroids within three months prior to vaccination or planned use during the study period
Comorbid conditions or treatments that are immunosuppressive, including cancer, diabetes, and end-stage renal disease, as determined by the Investigator
positive serology for HIV-1, HIV-2, HBsAg, or HCV
history of severe atopy
medical history of acute or chronic skin disease at vaccination area
active skin allergy
signs of acute skin infection, sunburn or skin abnormalities at the vaccination area including fungal infections, severe acne, active contact dermatitis, or a history of keloid formation
hirsute at vaccination area
artificial tanning over the duration of the study including the screening period
visible tattoos or marks at the vaccination area that would prevent appropriate dermatologic monitoring of the vaccination site
fever greater than or equal to 38.0°C at the time of planned vaccination
suspicion of or recent history of alcohol or substance abuse
women who are pregnant or breastfeeding
acute illness at screening or at the time of planned vaccination
ever had a serious reaction to prior influenza vaccination
developed a neurological disorder following a previous influenza vaccination or have any acute and evolving neurological disorder
employee of the investigational site or sponsor
history of employment in bird or poultry industries or considerable exposure to birds
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bernd Jilma, MD
Organizational Affiliation
Medical University of Vienna
Official's Role
Principal Investigator
Facility Information:
Facility Name
Privatklinik Leech
City
Graz
ZIP/Postal Code
8010
Country
Austria
Facility Name
Medical University of Vienna
City
Vienna
ZIP/Postal Code
1090
Country
Austria
Facility Name
Medizinische Universität Wien
City
Wien
ZIP/Postal Code
1090
Country
Austria
Facility Name
Antwerp University - Campus Drie Eiken
City
Antwerp
ZIP/Postal Code
2610
Country
Belgium
Facility Name
University Hospital Ghent
City
Ghent
ZIP/Postal Code
9000
Country
Belgium
12. IPD Sharing Statement
Learn more about this trial
Open-label Study to Assess Immunogenicity and Safety of a Vaccine Enhancement Patch When Administered With 2 Doses of H5N1 Vaccine
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